Triamcinolone (topical use)

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Recommendations made
pediatrician - Dr. Victоr Аbdоw
Rоckville, МD, USА.

woomen

Is it allowed to take Triamcinolone (topical use) during lactation?
Is it safe for a nursing mother and a child?

A corticosteroid with a mainly glucocorticoid action and moderate anti-inflammatory effects (ATC D07AB), slightly higher than that of prednisolone (ATC D07AA).Its topical dermatological use is indicated in the treatment of various types of dermatitis. This comment is about the TOPICAL USE of triamcinolone. Limited absorption through the skin and even mucous (Ramadas 2016, Meynadier 1981, Rasmussen 1978) makes it unlikely that significant amounts will pass into breast milk. If it is required to treat eczema or dermatoses of the nipple, it is advisable to choose the mildest corticoid, apply it just after the feed is finished so that it has been reabsorbed before the next feed, if it is necessary residues can be removed with a gauze and do not use it for more than a week after. Mineralocorticoid intoxication has occurred in an infant due to continuous application of a corticoid to the nipple (De Stefano 1983). It is advisable to avoid application to the nipple of creams, gels and other topically-applied products that contain paraffin (mineral oil) so that the infant does not absorb them (Concin 2008, Noti 2003). See below the information of these related products:

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Types of risk

VERY LOW RISK
It is allowed while breastfeeding. It is not dangerous for a baby. It is moderately safe. more...

LOW RISK PROBABLE
Possible presence in breast milk is allowed. Follow the doctor's recommendation. more...

HIGH RISK PROBABLE
An unsafe drug, it is necessary to assess the risks while taking. Use safer analogs. more...

VERY HIGH RISK
It is not recommended. You need to stop breastfeeding or choose a safe analog. more...

Analogues

Trade Names

The main trade names in different countries containing in its composition Triamcinolone (topical use):

Scientific literature

The level of risk for breastfeeding is confirmed in these scientific publications:
  1. http://www.ncbi.nlm.nih.gov/pubmed/27411649
  2. http://www.ncbi.nlm.nih.gov/pubmed/17923223
  3. http://www.ncbi.nlm.nih.gov/pubmed/14623482
  4. http://www.ncbi.nlm.nih.gov/pubmed/6874387
  5. http://www.ncbi.nlm.nih.gov/pubmed/7250468
  6. http://www.ncbi.nlm.nih.gov/pubmed/677913

Comments  

+3 #2 Reviewer: 55-64 Male on Treatment for less than 1 month 2019-05-28 09:55
I had been afflicted with eczema since I was born (I am now 59 years old). Doctors of the day knew of no treatment that would be effective to eliminate the problem. In 1983, Dr Marvin Porter, a dermatologist in Fort Myers, Florida examined my skin, then prescribed triamcinolone ointment as a treatment. I applied the ointment to the affected area daily, after showering. Exactly as Dr Porter had predicted, in two weeks the eczema vanished, and has never recurred. I still have the jar the medicine came in.
+3 #1 Reviewer: 35-44 Female on Treatment for 2 to less than 5 years (Patient) 2017-11-30 05:41
I get severe Eczema. I use this only when I am having very itchy and red skin, and within a day my rash clears up.

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